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Thread: Er billing with a surgery code

  1. #1

    Default Er billing with a surgery code

    AAPC: Back to School
    Hello Everyone,

    I'm trying to find out if the rules changed with regards to billing an ER Code with a Surgery Code. I'm told the ER code is inclusive to the Surgery Code. Is this correct?

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Decision for surgery

    If the evaluation of the patient presenting to the ER resulted in a decision for surgery, and that surgery was performed within the next 48 hours, you need a -57 modifier on your E/M code.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

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